32 56TH PL SE 2016-01-01 MF Import

Date�=93 TO POSTIN Application For PUBLIC WORKS PERMIT Print or Type Only Colony Craft Owner Onwer 14410 Bel Red Rd $200 Bellevue WA 98004 Mailing Address City Atldraas �escribe Proposed Work _ neW hOUSe Project Address ('f known) City Attach four (4) r.opies of plans for proposed work - Draw �o sr,ale and note the following as applicable: • P�operty Lines • Outline and dimensions of all ezisting and proposed structures on the lol • Existing and p�oposed utilities � Pubpc WorNs Pe�mit x 93 U7 aiaa oeai = 39879 Pu01iC WOrkS FOB TO�eI FpB S Less ApPI Fee PaiA .i Balance D�e $ ?i(/ • Centerline of street • Indicate North • Show any proposed grading changes • Show measurements PERMIT CONDITIONS 1. All calls for inspection shall be made 24 hrs. in atl�•ance - phone 259•$$1 O. 2. All work shall be performed in accordance with this permit and current City of Everett Design and Construction Standards and Specifications. .�nsiC II L ca ' n Und rground gervic 48 hrs. before you dig. TQLL PpE� NUMBER 1-800•QQ4-5555. ;a�g rocPk conatruc�ion entrance behind driveway as per city atandard it208 and eroaion control as direct;ed by Public Works Inapector. 5_ Keep city atreete clean at all timea S. (h�rb g�tter and sidewalk in the plat are new and undamaged, any damage thereto ahall be replaced at the diacretion of the Publir, Worka Inaprr_tor. 7. Any change in the driveway r_ut must be approved by the PW In- spector, width at prop line limited to exiating apron width. B- Conr,ect all rnof, yard and driveway draina to storm drain syatem provided to lot. 9. Adju�t water boxes to grade at end of construction_ 10. Drivecrays ehail be completely cured before driving on them_ % /G Approved as Constructed �Ar�PUBLIC WORKS DEPARTMENT 3200 Cr.dar Street Evereti, WA 98201 Phone:259�8810 Date ACKNOWLEDGEMENT OF CONDITIONS � � � b � N W � �w _/ � � O a The undersiqned owner/applicant hpreby agrees to hold and save harm- less the Cily ol Everett trom any and all claims for damages, costs, expenses, or causes of action that may arise beca�se of installation and maintenance o� :he improvemrnt or other righl-of•way use hereto applied for and further agrees lo remove same upon notice M1om the City and to replace public properry damaged thereby. -•-._� �3� �.� Sig ure pplicant Date WORK AUTHORIZED BY THIS PERM!7 MUST BE STAR'i ED WITHIN 180 DAYS OF DATE PERMIT IS ISSUED AND THEREAFTER IS TO BE DILIGENTLY PURSUED TO COMPLETION. THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT O\/ER 90 �AYS DURATION.